How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.08 Median $10.72 Typical High $38.02 | Facility | None | $7.08 | $10.72 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $28.18 | Professional | None | $7.08 | $10.00 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | None | $15.14 | $15.14 | $20.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $10.72 Median $19.50 Typical High $19.50 | Facility | None | $10.72 | $19.50 | $19.50 |
BCBS Louisiana Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | None | $19.50 | $19.50 | $22.91 |
Christus Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $22.91 | Professional | None | $14.79 | $16.98 | $22.91 |
United Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $199.53 | Facility | None | $81.28 | $109.65 | $199.53 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $23.44 | Professional | None | $12.88 | $17.78 | $23.44 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $3.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.41 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.05 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.05 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.71 | $1.00 | $1.00 |
Where Louisiana sits
The same service costs 5.4 times more in Vermont than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 46th of 51
$18.62
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.